The clinical features and imaging findings of a case with morning glory syndrome
Adem Türk, Hidayet Erdöl, Halil İbrahim İmamoğluKaradeniz Technical University, School Of Medicine, Department Of Ophthalmology, 61080, Trabzon, TurkeyClinical findings of 18-year old female case admitting with the complaint of blindness in her left eye that was present since his childhood were evaluated. Her visual acuities were complete on the right and absolute on the left. Her biomicroscopical anterior segment findings were within normal limits. In her fundoscopic examination, while the findings of the right eye were within normal limits, there were prepapillary elevated glial tissue that was cover the entire papilla, nasally located peripapillary pigmentous changes, and increased number of retinal vessels arising from the disc margin in her left eye. Her left fovea could not be observed. In optical coherence tomography investigation of the optic nerve head in her left eye, there was hyper reflectivity of the prepapillary glial tissue. In the left macular OCT examination, macular thickness was thinner than the other healthy eye and there was no foveal depression. While the cranial and orbital magnetic resonance imagings of the case were within normal limits, her orbital computed tomography and ultrasonography examination disclosed the opacity correlating with calcification in the distal optic disc region.
Keywords: Blindness, congenital abnormalities, optic nerve; optical coherence tomographyMorning glory sendromlu bir olgudaki klinik özellikler ve görüntüleme bulguları
Adem Türk, Hidayet Erdöl, Halil İbrahim İmamoğluKaradeniz Teknik Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, 61080, Trabzon, TürkiyeÇocukluğundan beri sol gözü görmeyen 18 yaşındaki kadın olguya ait klinik özellikler değerlendirildi. Görme keskinlikleri sağda tam solda absolu düzeyde olan olgunun biomikroskopik ön segment muayene bulguları normaldi. Fundus muayenesinde sağ göz bulguları normal olan olgunun, sol göz papillasını tamamen örten beyaz glial doku ve peripapiller pigment değişiklikleriyle birlikte optik disk etrafından saçılan artmış sayıda retinal damarlar bulunmaktaydı. Olgunun sol göz foveası tespit edilemedi. Sol gözde optik koherens tomografi (OKT) incelemesinde optik disk başında prepapiller glial dokuya ait yaygın reflektivite artışı tespit edilen olgunun maküler OKT incelemesinde fovea depresyonu bulunmamaktaydı ve diğer göze göre maküla kalınlığı inceydi. Kraniel ve orbital manyetik rezonans görüntüleme bulguları normal olan olgunun, orbita bilgisayarlı tomografi ve ultrasonografisinde distal optik disk kesiminde kalsifikasyonla uyumlu opasite tespit edildi.
Anahtar Kelimeler: Körlük, doğuştan anomaliler, optik sinir; optik koherens tomografiCorresponding Author: Adem Türk, Türkiye
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